Background & Aims
Despite a number of studies addressing the pathophysiology of hepatic IRI, a gold standard test for early diagnosis and evaluation of IRI remains elusive. This study investigated the metabolic alterations in a rat model of hepatic IRI using the in vivo hyperpolarized ¹³C MRS and metabolic imaging.
Methods
Hyperpolarized 13C MRS with IVIM‐DWI was performed on the liver of 7 sham‐operated control rats and 7 rats before and after hepatic IRI.
Results
The hepatic IRI‐induced rats showed significantly higher ratios of [1‐13C] alanine/pyruvate, [1‐13C] alanine/tC, [1‐13C] lactate/pyruvate and [1‐13C] lactate/tC compared with both sham‐operated controls and rats before IRI, whereas [1‐13C] pyruvate/tC ratio was decreased in IRI‐induced rats. In IVIM‐DWI study, apparent diffusion coefficient (ADC), f and D values in rats after hepatic IRI were significantly lower than those of rats before IRI and sham‐operated controls. The levels of [1‐13C] alanine and [1‐13C] lactate were negatively correlated with ADC, f and D values, whereas the level of [1‐13C] pyruvate was positively correlated with these values.
Conclusions
The levels of [1‐13C] alanine, [1‐13C] lactate and [1‐13C] pyruvate in conjunction with IVIM‐DWI will be helpful to evaluate the hepatic IRI as well as these findings can be useful in understanding the biochemical mechanism associated with hepatic damage.